Health Care Hearings – January 31

The following list represents state agency and legislative health care hearings scheduled between February 1 and February 21.
 
Legislative Committee Meetings
 
2/20/2014
 
Senate Committee on Health & Human Services
February 20, 2014 – 9:00 AM
Capitol Extension Building, Room E1.036, Finance Room, Austin
 
The Senate Committee on Health and Human Services will take up the following charges: Child Protective Services – Review the Department of Family and Protective Services. efforts to reduce child fatalities. Review the process by which the Department of Family and Protective Services collects and uses data to evaluate agency performance and improve outcomes for children in the Child Protective Services system. Make recommendations to ensure the process effectively uses data to strategically improve caseworker performance, and identify and improve upon deficiencies within the system and improve overall outcomes for children and reduce child fatalities. Women's Health – Build on previous legislative achievements in women's healthcare by examining women.s access to preventative health care, pregnancy services, and postpartum care, and exploring ways to expand access and improve quality, particularly in rural and underserved areas of the state. Monitor the implementation of women's health programs in Texas. Assess these programs' impact on outcomes such as improving access to preventative services, reducing unplanned pregnancies, and achieving cost savings. Recommend ways to better coordinate the various programs in a manner that increases the number of women served, ensures adequate provider capacity statewide, and maximizes efficiencies to the state. Public testimony will be limited to 3 minutes. If submitting written testimony, please provide 15 copies with your name on each. Additional Information Contact: Sen. Jane Nelson, 512/463-0112
 
 
State Agency Meetings
 
2/6/2014
 
Texas Health and Human Services Commission
February 6, 2014 – 01:30 PM
701 W. 51st St. (John H. Winters Bldg, Public Hearing Room), Austin
 
Hospital Payment Advisory Committee 1. Opening Comments: Peggy Deming, Hospital Payment Advisory Committee Chair 2. Approval of November 8, 2013 Meeting Minutes notice of proposed rules/information items: 3. Hospital-Specific Methodology HHSC proposes to amend s355.8066, concerning Hospital-Specific Limit Methodology. This proposal amends the methodology used to calculate a hospital-specific limit (HSL) for each Medicaid hospital participating in either the Disproportionate Share Hospital program, described in s355.8065, or in the Texas Healthcare Transformation and Quality Improvement Program, described in s355.8201. The HSL is the maximum payment amount that a hospital may receive in reimbursement for the cost of providing Medicaid-allowable services to individuals who are Medicaid eligible or uninsured to cover costs that are not reimbursed by Medicaid or other payment sources. The proposal brings the rule into compliance with Section 32.0284 of the Human Resources Code which states "For purposes of calculating the hospital-specific limit used to determine a hospital's uncompensated care payment under a supplemental hospital payment program, the commission shall ensure that to the extent a third-party commercial payment exceeds the Medicaid allowable cost for a service provided to a recipient and for which reimbursement was not paid under the medical assistance program, the payment is not considered a medical assistance payment." -Pam McDonald, HHSC notice of proposed rules/action items: 4. Inpatient Hospital Reimbursement HHSC proposes to amend s355.8052, concerning Inpatient Hospital Reimbursement, to address a drafting error in the publication of the adopted rule describing the methodology used to calculate final full-cost standard dollar amounts to avoid erroneous payments to children's and rural hospitals. The proposed changes conform to HHSC's calculation of inpatient hospital reimbursement rates. HHSC also proposes revising the methodology used to calculate the inpatient reimbursement rate assigned to new rural hospitals. -Laura Skaggs, HHSC 5. Waiver Reimbursement Methodology HHSC proposes to amend s355.8201, s355.8202, and s355.8203 to eliminate references to obsolete transition payments where appropriate, clarify eligibility requirements, and make other changes to conform the rule to the Centers for Medicare and Medicaid Services (CMS) approved waiver protocols for the 1115 waiver. In addition the amendments include additional definitions, specify deadlines for affiliation submissions, as well as providing better organization. -Mance Fine, HHSC 6. Public Comment 7. Proposed Next Meeting: Thursday, May 1, 2014 at 1:30 p.m. 8. Adjourn. Additional Information Contact: Cassandra Marx, 512/730-7416
 
Texas Medical Board
February 6, 2014 – 08:30 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Finance Committee 1. Call to order and roll call. 2. Budget report. 3. Annual Financial Report. 4. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 6, 2014 – 08:45 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Electronic Records and Communication AD HOC Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action relating to addressing the inclusion of medical decision making information in medical records. 3. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 6, 2014 – 09:15 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Disciplinary Process Review Committee 1. Call to order and roll call. 2. Discussion, recommendation, and possible action regarding referrals and reports from the Texas Physician Health Program. 3. Discussion, recommendation, and possible action regarding renewals involving impaired licensees. 4. Reports and discussion regarding the Investigation, Litigation and Compliance Departments. 5. Discussion, recommendation, and possible action regarding Rule Review and proposed changes to the following chapters in Title 22 of the Texas Administrative Code: A. Chapter 187, Procedural Rules: s187.35. Presentation of Proposal for Decision, s187.37. Final Decisions and Final Orders, and s187.38. Motions for Rehearing 6. Discussion and possible direction regarding the draft of customized impairment packet letters. 7. Discussion and possible direction regarding physicians on Board Orders and the option to retire. 8. Review, discussion, and possible action regarding review of probationers appearances. 9. Consideration and approval of membership of the Expert Physician Panel. 10. Reports and discussion regarding cases over one year old. 11. Review, discussion, and possible action regarding appeals of dismissed complaints: (11:00 a.m.) a. Jurisdictional Complaints: i. Investigations 11-8197 11-8198 13-2638 13-4364 13-5018 13-5118 13-5251 13-6029 ii. Legal Files 13-0915 (13-2260) B. Jurisdictional-Not-Filed Complaints: 13-2054 13-4310 13-5398 13-6592 13-6743 14-0066 14-0589 14-0764 14-0847 14-0848 14-0849 14-0850 14-0851 14-0852 14-0853 14-0854 14-0855 14-0856 14-0857 14-0858 14-0859 14-0860 14-0861 14-0862 14-0863 14-0899 14-0982 14-1101 14-1368 14-1372 14-1374 14-1452 14-1458 14-1566 14-1576 14-1730 14-1767 14-1902 14-1962 C. Non-Jurisdictional Complaints 03-5609 13-6486 12. Discussion, recommendation, and possible action regarding routine follow-up on investigative files previously referred from DPRC for follow-up action, specifically including: 13-0333 13-4565 13-4567 13-4621 13-5272 13-5506 13-5958 13-6022 13. Review, discussion, and possible action regarding selected files and cases. 14. Adjourn. Additional Information Contact: Sandra Carbajal, 512/305-7111
 
Texas Medical Board
February 6, 2014 – 09:15 AM
333 Guadalupe, Lobby Area, Room 100, Austin
 
Licensure Committee Agenda 1. Call to order and roll call. 2. Discussion, recommendation and possible action regarding licensee requests. 3. Discussion, recommendation, and possible action regarding applicants for licensure, permits, and certification. a. Applicants appearing concerning eligibility b. Proposed orders offered by the Executive Director c. Physician licensure applicants to be licensed d. Surgical assistant licensure applicants to be licensed e. Acudetox applicants to be certified 4. Discussion, recommendation and possible action regarding unsigned orders from previous meetings. 5. Report on physician licensure statistics. 6. Discussion, recommendation, and possible action regarding Nonprofit Health Organizations a. Applicants for initial certification b. Requests for biennial recertification 7. Discussion, recommendation and possible action regarding National Practitioner Data Bank reporting policy for licensure applicants. 8. Discussion, recommendation, and possible action regarding proposed amendments to board rules: a. 163.4 Procedural Rules for Licensure Applicants b. 163.5 Licensure Documentation c. 172.8 Faculty Temporary License d. 175 Fees and Penalties (175.1 and 175.2) e. 184.4 Surgical Assistants – Qualifications for Licensure f. 187.2 Definitions g. 187.5 National Practitioner Data Bank h. 187.13 Ineligibility Determination i. 187.24 Pleadings (pertaining to Licensure applicants who appeal) j. 187.26 Service in SOAH Proceedings k. 187.29 Mediated Settlement Conferences 9. Discussion, recommendation, and possible action regarding application questions. 10. Discussion, recommendation, and possible action regarding substantial equivalence list. 11. Discussion, recommendation and possible action regarding international verification of licenses. 12. Discussion, recommendation, and possible action regarding applicant packets. 13. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
 
2/7/2014
 
Department of Aging and Disability Services
February 7, 2014 – 10:30 AM
701 West 51st Street, John H. Winters Bldg. (Public Hearing Rm. 125 W&C), Austin
 
Nursing Facility Administrators Advisory Committee (NFAAC) 1. Approval of minutes of October 25, 2013 meeting 2. Review nursing facility administrator cases referred 3. Discuss future Nursing Facility Administrators Advisory Committee meetings and agenda topics The meeting will adjourn at 3:00 PM. Additional Information Contact: Lynette Sanders, 512/438-5305
 
Texas Medical Board
February 7, 2014 – 08:00 AM
333 Guadalupe, Tower 2, Suite 225, Austin
 
Board Meeting Agenda 1. Full Board call to order, roll call, and Mission Statement. Our Mission is to protect and enhance the public's health, safety and welfare by establishing and maintaining standards of excellence used in regulating the practice of medicine and ensuring quality health care for the citizens of Texas through licensure, discipline, and education. 2. Board Member Report. 3. Executive Director Report. Budget Legislative Update Personnel Update Outreach Update Audit Update Performance numbers FSMB & data analysis JPS Mini-Residency closing Outreach Survey Staff survey 4. Medical Director Report. a. Expert Panel update 5. Public Information Update. 6. Medical Board/Physician Assistant Liaison update. Agenda item #7 at 9:00 a.m. 7. Discussion, recommendation, and possible action regarding physician coaching program. 8. Discussion, recommendation, and possible action regarding chart monitor procedures. 9. Discussion, recommendation, and possible action regarding TMB inspections of office based anesthesia and pain management clinics. 10. Discussion, recommendation, and possible action regarding acudetox. 11. Consideration and possible action regarding pending litigation. Agenda item #12 at 10:00 a.m. 12. Consideration and approval of Determinations of Default. 1. Samuel Clark Hoover, D.O., SOAH # 503-13-4659 Agenda item #13 at 10:30 a.m. 13. Consideration and approval of Proposal for Decisions: 1. Reginald C. Buford, M.D., SOAH #503-11-8751 2. Garry Wayne Killyon, M.D., SOAH #503-11-8759 3. Lorenzo Spratt, SOAH #503-11-6830 14. Consideration and approval of Reconsideration of Proposal for Decision. 15. Consideration and approval of Modification Request/Termination Request of Non-Public Rehabilitation Orders. 16. Consideration and approval of Modification Request/Termination Request Orders. 17. Consideration and possible action for Agreed Board Orders. 18. Consideration and approval of Mediated Settlement Agreed Orders. 19. Consideration and approval of Remedial Plans. 20. Consideration and approval of Orders of Referral. 21. Consideration and approval of Cease and Desist Orders. 22. Consideration and approval of Order to Show Cause. 23. Consideration and approval of Amended Proposal for Decision 24. Consideration and approval of Remand of Amended Final Orders. 25. Consideration and approval of Nunc Pro Tunc Orders. 26. Report of Suspension by Operation of Law. 27. Report on Temporary Suspensions. 28. Report on Automatic Orders. 29. Report on Motions for Rehearing. Agenda Item #30 at 11:30 a.m. 30. Discussion, recommendation, and possible action regarding the adoption of proposed amendments and rule review to 22 Texas Administrative Code: a. Chapter 165 Medical Records s165.1.Medical Records b. Chapter 172, Temporary and Limited Licenses s172.5. Visiting Physician Temporary Permit c. Chapter 183, Acupuncture s183.21. Continuing Auricular Acupuncture Education for Acudetox Specialists d. Chapter 189, Compliance Program s189.11. Process for Approval of Physicians, Other Professionals, Group Practices & Institutional Settings 31. Discussion, recommendation and possible action regarding a petition for proposed rule changes to 22 T.A.C. Chapter 183, Acupuncture. 32. Discussion, recommendation, and possible action regarding proposed rule changes to 22 T.A.C. Chapter 185, Physician Assistants. Agenda Item #33 at 11:40 a.m. 33. Consideration and determination of licensure eligibility. 1. Applicant #1368 Agenda Item #34 at 12:00 p.m. noon 34. Consideration and approval for the appointment of the Texas Physician Health Program Medical Director. Agenda Item #35 at 12:00 p.m. noon 35. Open forum for public comments 36. Adjourn Discussion/Action Items – to be considered at any time the full board is in session: 1. Consideration and approval of the December 6, 2013 Board Meeting Minutes. 2. Committee reports and the consideration and approval of minutes and action items of committees meeting during the board meeting. Additional Information Contact: Laura Fleharty, 512/305-7174
 
Texas Board of Nursing
February 7, 2014 – 10:00 AM
333 Guadalupe Street, Tower 3, Room 102, Austin
 
1. Call to Order Chair Pat Yoder-Wise Welcome and Introductions of New Members 2. Review of Questions posed during Nov. 5th meeting 3. 2013 NEPIS Survey Update-Pam Lauer 4. THECB Grant RFPs Related to Nursing Education Update-Chris Fowler 5. Brainstorming Session 6. Review of Draft Guideline 7. Lunch 8. Review of Survey Items 9. Approval of Survey 10. Group Meetings 11. Plans for Next Meeting 12. Adjournment. Additional Information Contact: Jan Hooper, 512/305-6814
 
2/10/2014
 
Texas Health and Human Services Commission
February 10, 2014 – 01:00 PM
4110 Guadalupe St. (ASH Campus, Nifty Fifty Conference Rm), Austin
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the October 14, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. Intellectual and Developmental Disability carve-in c. STAR Kids d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 11. Public Comments. 12. Discussion on Schedule for Next Meeting. 13. Adjourn.  Additional Information Contact: 512/463-5561
 
2/11/2014
 
Texas State Board of Pharmacy
February 11, 2014 – 09:00 AM
333 Guadalupe Street, Suite 2-225, Austin
 
Agenda A. Announcements Meeting Procedures Board Members Staff Continuing Education B. Discussion and Approval of Minutes Tab 01) TSBP Public Hearing, Held November 4, 2013 TSBP Board Business Meeting, Held November 4-5, 2013 Temporary Suspension Hearings C. Discussion of and Possible Action Regarding Rules C.1 Final Adoption of Rules C.1.1 Amendments Concerning Pharmacist to Technician Ratio (Tab 02) C.1.5.1 s291.32 Concerning Class A Pharmacies C.1.5.2 s291.53 Concerning Class B Pharmacies C.1.5.3 s291.153 Concerning Class G Pharmacies C.1.2 Amendments to s291.125 Concerning Labeling in Pharmacies Utilizing Central Prescription Dispensing (Tab 03) C.2 Proposal of Rules C.2.1 Amendments to s281.64 Concerning Sanctions for Criminal Offenses (Tab 04) C.2.2 Amendments to s291.29 Concerning Professional Responsibility of Pharmacists (Tab 05) C.3 Rule Reviews in Accordance with Government Code, Section s2001.039 (Tab 06) C.3.1 For Adoption C.3.1.1 Chapter 291 Concerning Pharmacies (Nuclear Pharmacy (Class B)) (291.51-291.55) (Tab 07) C.3.1.2 Chapter 305 Concerning Educational Requirements (305.1-305.2) (Tab 08) C.3.1.3 Chapter 309 Concerning Generic Substitution (309.1-309.4, 309.6-309.8) (Tab 09) D. Discussion of and Possible Action Concerning Reports of Committees/Task Forces D.1 Task Force to Review Pharmacy Technician Practice (Tab 10) E. Discussion of and Possible Action Concerning the Following Reports and Discussions E.1 Financial Update E.1.1 Review of FY2014 Expenditures (Tab 11) E.1.2 Review of Board Member Travel Budget (Tab 12) E.2 Update Concerning Program to Aid Impaired Pharmacists and Pharmacy Students E.2.1 Update on Number of Participating Individuals (Tab 13) E.2.2 Professional Recovery Network (PRN) E.2.2.1 Presentation and Discussion Concerning PRN Expenditures and Activities by PRN Director Courtney Hulbert (Tab 14) E.2.2.2 Review and Approval of Professional Recovery Network Program Audit (Tab 15) E.3 Discussion Concerning the Status of a Prescription After a Physician Dies (Tab 16) E.4 Report on Appeals from State Office of Administrative Hearings Cases and Other Court Actions (Tab 17) E.5 Report on Shared Regulatory Data Base Project and Update on TSBP Website (Tab 18) E.6 Discussion Concerning TSBP FY2015-2019 Strategic Plan (Tab 19) E.7 Update on Legislation Filed During the 83rd Texas Legislative Session that has an Impact on TSBP and/or the Practice of Pharmacy (Tab 20) E.8 Discussion of Possible Statutory Changes for Consideration During the 84th Session of the Texas Legislature (Tab 21) F. Disciplinary Orders F.1 Consideration of Proposals for Decision F.1.1 In the Matter of S. Ray Johnson, Pharmacist License #16082, and The Pill Box, Pharmacy License #2472 (Tab 22) F.1.1.1 Executive Session Concerning the Proposal For Decision in the Matter of S. Ray Johnson, Pharmacist License #16082 F.1.1.2 Executive Session Concerning the Proposal for Decision in the Matter of The Pill Box, Pharmacy License #2472 F.1.2 In the Matter of Mark Howard Braun, Pharmacist License #22536 (Tab 23) F.1.2.1 Executive Session Concerning the Proposal For Decision in the Matter of Mark Howard Braun, Pharmacist License #22536 F.1.3 In the Matter of Paul Edward Ditton, Pharmacy Technician Registration #104885 (Tab 24) F.1.3.1 Executive Session Concerning the Proposal For Decision in the Matter of Paul Edward Ditton, Pharmacy Technician Registration #104885 F.2 Report on Agreed Board Orders Entered by Executive Director (Tab 25) F.3 Discussion of and Action on Proposed Agreed Board Orders and Default Orders (Tab 26) F.4 Executive Session to Consider Confidential Agreed Board Orders (Tab 27) G. Consideration of and Possible Action Concerning the Following Enforcement Reports G.1 Report on Complaints Closed and Dismissed During the Previous Quarter (Tab 28) G.2 Report on Status of Active/Pending Complaints (Tab 29) H. Miscellaneous H.1 Items to be Placed on Agenda for May 2014 Board Meeting (Tab 30) H.2 Discussion of and Possible Action on Recent Conferences and Events American Society of Consultant Pharmacists (ASCP)Annual Meeting, Seattle, WA, November 19-22, 2013 American Society of Health-System Pharmacists (ASHP) Mid-Year Clinical Meeting, Orlando, FL, December 8-12, 2012 H.3 Discussion of and Possible Action on Upcoming Conferences and Events American Pharmacists Association (APhA) Annual Meeting, Orlando, FL, March 28-31, 2014 Informal Conference, Austin, March 4-6, 2014 (Stine) Technician Informal Conference, Austin, March 20, 2014(Kedron) Informal Conference, Austin, April 1-3, 2014(Tipton) Academy of Managed Care Pharmacy (AMCP)Annual Meeting, Tampa, FL, April 2-4, 2014 Texas Pharmacy Association (TPA) Spring Leadership Symposium, Austin, TX, April 3-5, 2014 Texas Society of Health System Pharmacists (TSHP)Annual Seminar, Houston, TX, April 11-13, 2014 West Texas Pharmacy Association (WTPA)Convention and Seminar, Lubbock, TX, April 24-27, 2014 Technician Informal Conference, Austin, April 17, 2014 (Fry). Additional Information Contact: Becky Damon, 512/305-8026
 
Texas Health and Human Services Commission
February 11, 2014 – 10:00 AM
Brown-Heatly Building, Room 2301, 4900 North Lamar Blvd., Austin
 
Proposed New Rule Concerning The Electronic Visit Verification System. Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comments on the proposed new rule to Title 1, Part 15, Chapter 354, Subchapter A, Division 11, §354.1177, concerning Electronic Visit Verification (EVV) System.  The proposed new rule establishes requirements applicable to contractors providing EVV services for Medicaid-enrolled providers and guidelines for Medicaid-enrolled providers that are required to use an EVV system for services as defined by HHSC.  Additionally, the rule defines which Medicaid services require EVV and identifies the data elements that must be included to verify the service occurred. Written Comments.  Written comments on the proposed amendments to the rule may be submitted to Deborah Keyser, Senior Program Specialist, Medicaid/Children’s Health Insurance Program Division, HHSC, P.O. Box 149030, MC-H100, Austin, Texas 78714; by fax to 512-30-7476; or by email to deborah.keyser@hhsc.state.tx.us within 30 days of publication of this proposal in the Texas Register.
 
Texas Health and Human Services Commission
February 11, 2014 – 10:00 AM
3800 Commercial Ave. (CentroMed, Encino Ballroom), San Antonio
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the October 15, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Approval of minutes of the June 18, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 4. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 5. Update on Medicaid Tele-monitoring Benefit. 6. Update on Personal Care Services rules. 7. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. STAR Kids c. Intellectual and Developmental Disability carve-in d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 8. Update on Therapy Changes for January 2014. 9. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 10. Update on Texas Women's Health Program. 11. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 12. Public Comment. 13. Discussion on Schedule for Next Meeting. 14. Adjourn.  Additional Information Contact: 512/463-5561
 
Texas Health and Human Services Commission
February 11, 2014 – 01:30 PM
2350 Stemmons Freeway (Children's Ambulatory Care Pavilion Independence Conference Room First Floor), Dallas
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the October 15, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. Intellectual and Developmental Disability carve-in c. STAR Kids d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8 – provider marketing requirements d. Provider administrative simplification 11. Public Comment. 12. Discussion on Schedule for Next Meeting. 13. Adjourn. Additional Information Contact: 512/463-5561
 
2/12/2014
 
Department of State Health Services
February 12, 2014 – 09:00 AM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Disaster/Emergency Preparedness Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: I. Workgroup Reports: A. Texas Disaster Medical System (TDMS) 1. TDMS Mass Fatality Management report B. Emergency Medical Task Force (EMTF) workgroup report 1. EMTF South Padre Island Exercise 2. EMTF AMBUS (Ambulance Bus) Working Group Report 3. EMTF MMU (Mobile Medical Unit) Working Group Report 4. EMTF Air Medical Working Group Report 5. EMTF Coordination Center Standards and Operational Guidelines II. Medical Incident Support Team (M-IST) and Ambulance Staging Manager (ASM) Courses Report III. Discussion of Regional Medical Operations Centers (RMOC) IV. Prioritize Next Steps / Discuss Committee Meeting Frequency General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 12, 2014 – 10:30 AM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Emergency Medical Services Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. Review proposed revisions to Title 25 of the Texas Administrative Code (TAC), Section 157.11 regarding changes mandated by House Bill (HB) 3556 and Senate Bill (SB) 8 of the 83rd Legislative Session, 2013. 2. Recommendations to the Department of State Health Services, as required by Senate Bill 8 of the 83rd Texas Legislative Session, 2013, regarding the laws and policies related to the licensure of nonemergency EMS transportation providers that would reduce the incidence and opportunities of fraud, waste and abuse. 3. EMS for Children (EMSC) update. 4. Update on status of revisions to the EMS and Trauma Systems rules in Title 25 of the Texas Administrative Code (TAC), Chapter 157. 5. Report from the workgroup examining the language in 25 TAC Section 157.11, Requirements for an EMS Provider License, and 25 TAC Section 157.13, Fixed-wing Air Ambulance Operations, regarding patient care issues when EMS ground and air providers are present. 6. Update from Emergency Medical Task Forces (EMTF). 7. Update on issues on drug shortages and pharmaceutical compounding of drugs. 8. Trauma Systems Committee Registry Workgroup (TSCRW) Update 9. Possible agenda items from committee members for next meeting 10. Presentation of Texas Medical Association's (TMA) Hard Hats for Little Heads program that provides bike helmets to children, to be presented by Tammy Wishard, TMA Outreach Coordinator General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 12, 2014 – 02:30 PM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Injury Prevention Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. Trauma Registry Workgroup Report 2. Texas EMS Trauma and Acute Care Foundation (TETAF) Injury Prevention Report 3. Texas Trauma Care Foundation (TTCF) Injury Prevention Report 4. Texas Injury Indicators Report 5. Review of Injury Prevention committee work day meeting and consider developing recommendations for Texas Hospital-based injury prevention programs 6. Review of Safe States Alliance position statement on injury and violence prevention workforce development General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment.
Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 12, 2014 – 04:00 PM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Air Medical Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. Report on progress of the formation of an air medical workgroup, in conjunction with Texas Association, Air Medical Services (TAAMS), to participate on the Emergency Medical Task Force (EMTF) development of an air medical disaster response memorandum of agreement. 2. Report on the progress of the Trauma Systems Committee Registry workgroup, in conjunction with Big Country Regional Advisory Council (RAC) D, in identifying issues with the Trauma Registry system. 3. Review and consider the reply from DSHS on a rule interpretation question proposed regarding the consequences of unlicensed, out-of-state EMS providers transporting patients into the state and assisting Texas-licensed EMS providers with patient care during in-state transport. 4. Review and consider the reply from DSHS on a rule interpretation question proposed regarding whether students in a Texas EMS training program may be allowed to participate for credit in clinical rotations (in-hospital observations and hands-on experience under the supervision of preceptors) in settings outside of the State of Texas. 5. Consider comments on the rule language presented at the November 24, 2013 Air Medical committee meeting that were not in the original, October 3, 2013 draft, and consider as an action item for approval of final language to send forward to the February 14, 2014 GETAC meeting. 6. Consider recommendations from the Pediatric committee regarding the Washington State Guidelines for Transport, and any other items from that report that committee members wish to discuss. General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: 512/463-5561
 
2/13/2014
 
Department of State Health Services
February 13, 2014 – 09:00 AM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Education Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. As it relates to EMS education, propose ideas for flexibility on and consider exemptions to Education Code s61.05151, which prohibits educational institutions from requiring students to complete more than the minimum number of semester credit hours (60) required for an associate degree, unless the institution determines that there is a compelling academic reason for requiring the additional hours and appeals for an exemption to the Texas Higher Education Coordinating Board. 2. Develop recommendations on ethics and integrity standards and competencies, in EMS continuing education and initial training, as recommended by the GETAC EMS committee. 3. Consider Texas Success Initiative (TSI), Title 19 Part 1 Chapter 4, sub chapter, 4.54, related to waivers of placement testing for students (in reading, writing and math) and the possible limitations to community college EMS certificate programs. 4. Review the online Medical Directors Course adapted by the National Highway Traffic Safety Administration, developed by the National Association of EMS Physicians and the American College of Emergency Physicians, meeting the education requirements of Title 22 Part 9 Chapter 197 Rule s197.3 Off-Line Medical Director. General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 13, 2014 – 10:30 AM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Medical Directors Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Review mission and vision statements for GETAC Recognize and welcome new members to the committee Vision A unified, comprehensive, and effective EMS/Trauma System for a healthy, safe Texas. Mission To promote, develop, and maintain a comprehensive EMS/Trauma System that will meet the needs of all patients and that will raise the standards for community health care by implementing innovative techniques and systems for the delivery of emergency care for the entire population. Discussion and possible action on the following items: 1. Presentation of Texas Medical Association's (TMA) Hard Hats for Little Heads program that provides bike helmets to children, to be presented byTammy Wishard, TMA Outreach Coordinator 2. EMS for Children Statewide Assessment update 3. Consider actions taken by GETAC at the November 2013 meeting regarding the mental health care position statement that was approved with the addition of the word stakeholders in the first line. 4. Consider GETAC's approval of the National Association of EMS Physicians (NAEMSP)/American College of Surgeons (ACS) position statement on the use of long spine boards at the November 2013 meeting. 5. Consider endorsement of a position statement and possible sample clinical guideline to be forwarded to GETAC on House Bill 434, 83rd Legislature, 2013, concerning blood draws, http://www.legis.state.tx.us/tlodocs/83R/billtext/html/HB00434I. tm regarding its revisions to Transportation Code s724.017. 6. As it relates to EMS education, consider ideas for flexibility on and exemptions to Education Code s61.05151, which prohibits educational institutions from requiring students to complete more than the minimum number of semester credit hours (60) required for an associate degree, unless the institution determines that there is a compelling academic reason for requiring the additional hours and appeals for an exemption to the Texas Higher Education Coordinating Board. 7. Review and consider additions to the GETAC Medical Director web page at: http://www.dshs.state.tx.us/emstraumasystems/medicaldirectorscom ittee.shtm 8. Consider recommendations on a position statement on the various situations during which EMS or air medical providers may be overused or inappropriately "mandated" for interfacilty transfers 9. Trauma Systems Committee Registry Workgroup (TSCRW) report 10. Consider a position statement on field clearance and/or limited spinal motion restriction and a corresponding sample clinical guideline and proposal for submission to GETAC for approval 11. Consider ideas and recommendations on addressing problems with the availability, stockpiling and cost of epinephrine auto-injectors 12. Report on Attorney General Opinion GA-0753 13. Review and consider the American College of Emergency Physicians (ACEP) 2014 National Report Card on the state of emergency care, and the results for Texas 14. Review the online Medical Directors Course adapted by the National Highway Traffic Safety Administration, developed by the National Association of EMS Physicians and the American College of Emergency Physicians, meeting the education requirements of Title 22 Part 9 Chapter 197 Rule s197.3 Off-Line Medical Director General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 13, 2014 – 01:00 PM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) The Council will meet to discuss and possibly act on the following agenda: Call to Order Discussion, public comment, and possible action on the following items: Advisory Council Members (Public comment time may be limited at Chair's discretion) 1. GETAC strategic planning session in accordance with Health and Safety Code, Chapter 773, Section 773.012(l). 2. The review of the strategic plan document developed at the June 27, 2012 GETAC strategic planning session in accordance with Health and Safety Code, Chapter 773, Section 773.012(l) General Public Comment(Comment time may be limited at Chair's discretion) Review and list agenda Items for next meeting Adjournment. Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 13, 2014 – 01:00 PM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Trauma Systems Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. Review of current DSHS EMS and Trauma System Rules, in Title 25 of the Texas Administrative Code, Chapter 157, and make recommendations to DSHS with regard to the process for applying for trauma facility designation. 2. Report: Trauma Systems Committee Registry Workgroup (TSCRW). 3. Report: Trauma Systems Committee Trauma Medical Director's workgroup. 4. Report: Trauma Systems Committee Mid-Level Provider workgroup. 5. Report: Trauma Systems Committee Regional Advisory Council (RAC) System Development workgroup. 6. Implementation: Trauma Registrar's Trauma Registry Workgroup 7. Trauma System Survey Review 8. Committee Member Stakeholder Reports a. GETAC Council b. Region VI American College of Surgeons/Committee on Trauma (ACS/COT) c. Texas Trauma Coordinator's Forum (TTCF) d. Level IV Trauma Centers e. Level III Trauma Centers f. Level II Trauma Centers g. Level I Trauma Centers h. Pediatric Trauma Centers i. Texas EMS/Trauma Foundation (TETAF) Trauma Division j. Texas College of Emergency Physicians k. Emergency Medical Services (EMS) l. Trauma Center Administrators m. Texas Hospital Association o. Emergency Nurses Association (ENA) General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment. Additional Information Contact: 512/463-5561
 
Texas Health and Human Services Commission
February 13, 2014 – 01:00 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd., Austin
 
Hearing.  The Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed payment rates for the Community Based Alternatives (CBA) – Home and Community Support Services waiver and associated Consumer Directed Services (CDS) programs.  These programs are operated by the Department of Aging and Disability Services (DADS). The payment rates are proposed to be effective March 1, 2014.  The public hearing will be held in compliance with Human Resources Code §32.0282 and Title 1 of the Texas Administrative Code (TAC) §355.105(g), which require public notice and hearings on proposed reimbursement rates. Proposal.  HHSC proposes rate increases for CBA – Home and Community Support Services Personal Attendant Services (PAS) and associated CDS rates(s).  The proposed rates will be effective March 1, 2014, and were determined in accordance with the rate setting methodologies listed below under “Methodology and Justification.” Methodology and justification.  Effective September 1, 2013, DADS amended Title 40, TAC, Chapter 49, Contracting for Community Care Services, and HHSC amended its managed care contracts to incorporate a minimum wage requirement of $7.50 per hour for personal attendants (to increase to $7.86 effective September 1, 2014).  These changes were made in response to the 2014-15 General Appropriations Act (Article II, Special Provisions, Section 61, Senate Bill 1, 83rd Legislature, Regular Session, 2013) which indicated that appropriations made elsewhere in the Act included funds for an increase in the base wage of personal attendants to $7.50 an hour in fiscal year 2014 and $7.86 an hour in fiscal year 2015.  HHSC proposes to increase the attendant compensation rate component for nonparticipating and participating contracts in the Attendant Compensation Rate Enhancement for the CBA – Home and Community Support Services program and associated rate(s) in the CDS program to support the required minimum wage.  The proposed rates were determined in accordance with the rate setting methodologies codified at Title 1, TAC, Chapter 355, Subchapter C, §355.503, Reimbursement Methodology for the CBA Waiver Program and the Integrated Care Management – Home and Community Support Services and Assisted Living/Residential Care Program, Subchapter A, §355.112, Attendant Compensation Rate Enhancement and §355.114, Consumer Directed Services Payment Option.  These rates were subsequently adjusted in accordance with 1 TAC Chapter 355, Subchapter A, §355.101, Introduction, and §355.109, Adjusting Reimbursement When New Legislation, Regulations or Economic Factors Affect Costs, and Subchapter B, §355.201, Establishment and Adjustment of Reimbursement Rates by HHSC. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after January 31, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at doug.odle@hhsc.state.tx.us.  The briefing package also will be available at the public hearing. Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing.  Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax or email: U.S. mail – Texas Health and Human Services Commission , Attention:  Rate Analysis, Mail Code H-400 , P.O. Box 149030 , Austin, Texas 78714-9030. Overnight mail, special-delivery mail or hand delivery – Texas Health and Human Services Commission , Attention:  Rate Analysis, Mail Code H-400 , Brown-Heatly Building , 4900 North Lamar , Austin, Texas 78751. Phone number for package delivery: 512-730-7401. Fax – Attention:  Rate Analysis at 512-730-7475. Email – doug.odle@hhsc.state.tx.us
 
Department of State Health Services
February 13, 2014 – 02:30 PM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Pediatrics Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. Committee liaison reports (reports on August 2013 meetings): a. Air Medical b. EMS c. Education d. Injury Prevention e. Medical Directors f. Stroke g. Trauma Systems h. Regional Advisory Council chairs i. Disaster planning 2. Update on Child Fatality Review Teams 3. Consider a position paper on minimizing computed tomography (CT) radiation a. Consider strategies for quality improvement implementation recommendations of the Pediatric committee position paper on CT radiation b. Consider ideas for rule revisions governing radiation exposure (2017 is the target date, but recommendations are welcomed at any time). c. Consider development of a framework for external links to pediatric radiation exposure and other possible linkages (e.g. state partnership, Radiation-TDSHS website) 4. Presentation of Texas Medical Association's (TMA) Hard Hats for Little Heads program that provides bike helmets to children, to be presented by Tammy Wishard, TMA Outreach Coordinator 5. EMS for Children State Partnership update: a. EMS Assessment update b. National Pediatric Readiness Project Regional Data Presentation 6. Update on pediatric transfer guidelines and review Washington State "Pediatric Consultation" 7. Consider creation of a pediatric transfer guidelines task force to include medical directors, Regional Advisory Council (RAC) representatives, Children's Hospital Association of Texas (CHAT), EMS General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjourn. Additional Information Contact: 512/463-5561
 
Department of State Health Services
February 13, 2014 – 04:00 PM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Cardiac Care Committee of the Governor's EMS and Trauma Advisory Council (GETAC) The Committee will meet to discuss and possibly act on the following agenda: Call to Order/Roll Call Recognize and welcome new members to the committee Discussion and possible action on the following items: 1. Report on current results of the American Heart Association (AHA) action Registry 2. Report on DSHS-Cardiovascular Disease Council Interface 3. Southeast Texas Regional Advisory Council (SETRAC) web portal development for GETAC Cardiac Care Committee 4. Report on Regional Advisory Council (RAC) STEMI Survey 5. Report on ongoing discussions between the DSHS Cardiovascular Disease and Stroke Council and the GETAC Cardiac Care Committee General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting Announcements Review and list agenda items for next meeting Next Meeting Date Adjournment.
Additional Information Contact: 512/463-5561
 
Texas Health and Human Services Commission
February 13, 2014 – 10:00 AM
3810 4th St (USDA Agricultural Research Service, Conf. Rm), Lubbock
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the October 17, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. Intellectual and Developmental Disability carve-in c. STAR Kids d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 11. Public Comment. 12. Discussion on Schedule for Next Meeting. 13. Adjourn. Additional Information Contact: Anthony Flunder, 806/783-6624
 
2/14/2014
 
Department of State Health Services
February 14, 2014 – 09:00 AM
Crowne Plaza Hotel, 6121 North IH-35, Austin
 
Governor's EMS and Trauma Advisory Council (GETAC) The Council will meet to discuss and possibly act on the following agenda: Call to Order Approval of Minutes Chair Report and Discussion Assistant Commissioner Report Division for Regulatory Services State EMS/Trauma System Report Assistant Commissioner Report Division of Disease Control and Prevention Assistant Commissioner Report Division for Regional and Local Health Services Preparedness Coordinating Council GETAC Committee Summary Reports Air Medical Committee Cardiac Care Committee Disaster/Emergency Preparedness Committee Education Committee EMS Committee Injury Prevention Committee Medical Directors Committee Pediatric Committee Stroke Committee Trauma Systems Committee GETAC Liaison Summary Reports -Texas EMS, Trauma, and Acute Care Foundation (TETAF) -EMS for Children State Partnership update Discussion, public comment, and possible action on the following items: Advisory Council Members (Public comment time may be limited at Chair's discretion) 1. GETAC strategic planning session in accordance with Health and Safety Code, Chapter 773, Section 773.012(l). 2. Review of the Texas Higher Education Coordinating Board Associates of Applied Sciences in EMS; change to the 60-hour rule and the impact in EMS education. 3. The review of the strategic plan document developed at the June 27, 2012 GETAC strategic planning session in accordance with Health and Safety Code, Chapter 773, Section 773.012(l) 4. Review and consider the American College of Emergency Physicians (ACEP) 2014 National Report Card on the state of emergency care, and the results for Texas. 5. Review the online Medical Directors Course adapted by the National Highway Traffic Safety Administration, developed by the National Association of EMS Physicians and the American College of Emergency Physicians, meeting the education requirements of Title 22 Part 9 Chapter 197 Rule s197.3 Off-Line Medical Director. 6. Presentation of Texas Medical Association's (TMA) Hard Hats for Little Heads program that provides bike helmets to children, to be presented byTammy Wishard, TMA Outreach Coordinator General Public Comment (Comment time may be limited at Chair's discretion) Review and list agenda Items for next meeting Adjournment. Additional Information Contact: 512/463-5561
 
Texas Health and Human Services Commission
February 14, 2014 – 10:00 AM
4601 S 1st St. (HHSC Region 2/9 Hdqts, Rm K-101 & K-102), Abilene
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee (Abilene) 1. Welcome and Introductions. 2. Approval of minutes of the October 18, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. Intellectual and Developmental Disability carve-in c. STAR Kids d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 11. Public Comment. 12. Discussion on Schedule for Next Meeting. 13. Adjourn. Additional Information Contact: Kevin Orr, 325/795-5876
 
2/18/2014
 
Texas Health and Human Services Commission
February 18, 2014 – 01:00 PM
1530 S SW Loop 323, Tyler Junior College W Campus, Rm 104, Tyler
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee (Tyler) 1. Welcome and Introductions. 2. Approval of minutes of the October 21, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. Intellectual and Developmental Disability carve-in c. STAR Kids d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 11. Public Comment. 12. Discussion on Schedule for Next Meeting. 13. Adjourn. Additional Information Contact: 512/463-5561
 
2/19/2014
 
Texas Health and Human Services Commission
February 19, 2014 – 10:00 AM
3555 Stagg Dr. (Baptist Hospital of Southeast Texas, CancerCenter Auditorium), Beaumont
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee February 19, 2014 10:00 a.m. Meeting Site: Baptist Hospital of Southeast Texas Cancer Center Auditorium 3555 Stagg Dr. Beaumont, TX 77701 1. Welcome and Introductions. 2. Approval of minutes of the October 23, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. Intellectual and Developmental Disability carve-in c. STAR Kids d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 11. Public Comment. 12. Discussion on Schedule for Next Meeting. 13. Adjourn. Additional Information Contact: 512/463-5561
 
Texas Health and Human Services Commission
February 19, 2014 – 09:00 AM
818 Missouri Ave. (Hazel Harvey Peace Neighborhood Ctr), Fort Worth
 
Medicaid and Children's Health Insurance Program Regional Advisory Committee 1. Welcome and Introductions. 2. Approval of minutes of the October 16, 2013 Medicaid and Children's Health Insurance Program Regional Advisory Committee Meeting (Vote required). 3. Update on Medicaid and Chip Eligibility Changes under the Affordable Care Act. 4. Update on Medicaid Tele-monitoring Benefit. 5. Update on Personal Care Services rules. 6. Update on Major Medicaid Managed Care Initiatives. a. Carving nursing homes into STAR+PLUS b. STAR Kids c. Intellectual and Developmental Disability carve-in d. STAR+PLUS in Medicaid Rural Service Areas e. Behavioral Health Carve-in 7. Update on Therapy Changes for January 2014. 8. Update on Requirement for National Drug Codes on Clinician Administered Outpatient Drugs. 9. Update on Texas Women's Health Program. 10. Update on Related Programs and Policies. a. Status of primary care rate increases b. Texas Health Steps Changes for January 1, 2014 c. Senate Bill 8: provider marketing requirements d. Provider administrative simplification 11. Public Comment. 12. Discussion on Schedule for Next Meeting. 13. Adjourn. Additional Information Contact: 512/463-5561
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Five Procedure Codes Classified under Clinical Diagnostic Laboratory Services.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Five Procedure Codes Classified under Clinical Diagnostic Laboratory Services are proposed to be effective January 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC §355.8610, which addresses the reimbursement methodology for Clinical Laboratory Services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.  Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail. Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, P.O. Box 149030, Austin, Texas 78714-9030. Overnight mail, special delivery mail, or hand delivery: Texas Health and Human Services Commission, Attention: Rate Analysis, Mail Code H-400, Brown-Heatly Building, 4900 North Lamar, Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475
Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medicaid Biennial Calendar Fee Review.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Medicaid Biennial Calendar Fee Review are proposed to be effective April 1, 2014, for the following services: (1) Cardiovascular System Surgery (2) Digestive System Surgery (3) G Codes (Procedures/Professional Services (Temporary)) (4) Musculoskeletal System Surgery (5) Physician-Administered Drugs – Oncology (6) Physician-Administered Drugs – Nononcology (7) Proton Therapy (8) Urinary System Surgery Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing. Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the 2014 Annual Healthcare Common Procedure Coding System (HCPCS) Updates.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at http://www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Annual HCPCS Updates are proposed to be effective January 1, 2014, for Clinical Diagnostic Laboratory Services. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC §355.8610, which addresses the reimbursement methodology for Clinical Laboratory Services. Briefing Package.  A briefing package describing the proposed payment rates will be available at http://www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.   Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the 2014 Annual Healthcare Common Procedure Coding System (HCPCS) Updates.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Annual HCPCS Updates are proposed to be effective January 1, 2014, for the following services: 1 Physician-Administered Drugs 2 Speech Therapy Services 3 Surgery and Assistant Surgery 4 Nonclinical Laboratory Services 5 Radiation Therapy 6 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 7 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental Services 8 Ambulatory Surgical Centers 9 Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics, and supplies; §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; §355.8121, which addresses the reimbursement methodology for Ambulatory Surgical Centers; and §355.8441, which addresses the reimbursement methodology for EPSDT services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.
Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lama Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medicaid Fee Review for Clinical Diagnostic Laboratory Services.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Medicaid Fee Review for Clinical Diagnostic Laboratory Services are proposed to be effective April 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC §355.8610, which addresses the reimbursement methodology for Clinical Laboratory Services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.  Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rate for the third Quarter 2013 Healthcare Common Procedure Coding System (HCPCS) Updates.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rate for the third Quarter 2013 HCPCS Updates to “C Codes” (Unclassified Drugs) is proposed to be effective April 1, 2014. Methodology and Justification. The proposed payment rate was calculated in accordance with 1 TAC: §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; and §355.8085, which addresses the reimbursement methodology for physicians and other practitioners. Briefing Package.  A briefing package describing the proposed payment rate will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.
Written Comments.  Written comments regarding the proposed payment rate may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for the Medicaid Fee Review for Hospital Outpatient Imaging Services.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Medicaid Fee Review for Hospital Outpatient Imaging Services are proposed to be effective January 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC §355.8061, which addresses the reimbursement methodology for Outpatient Hospital Services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.   Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or e-mail: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental Services.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for EPSDT Dental Services are proposed to be effective April 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for EPSDT services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.   Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Health and Behavior Assessment and Intervention Comprehensive Care Program (CCP) Services.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for the Health and Behavior Assessment and Intervention CCP Services are proposed to be effective April 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8081, which addresses payments for laboratory and x-ray services, radiation therapy, physical therapists' services, physician services, podiatry services, chiropractic services, optometric services, ambulance services, dentists' services, psychologists' services, licensed psychological associates' services, maternity clinic services, and tuberculosis clinic services; §355.8085, which addresses the reimbursement methodology for physicians and other practitioners; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.   Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
Texas Health and Human Services Commission
February 19, 2014 – 01:30 PM
Brown-Heatly Building, Public Hearing Room, 4900 North Lamar Blvd, Austin
 
The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive public comment on proposed Medicaid payment rates for Mobility Aids Accessory Rentals.  The hearing will be held in compliance with Human Resources Code §32.0282 and the Texas Administrative Code, Title 1 (1 TAC), §355.201, which require public notice of and hearings on proposed Medicaid reimbursements.   HHSC also will broadcast the public hearing; the broadcast can be accessed at www.hhsc.state.tx.us/news/meetings.asp. The broadcast will be archived and can be accessed on demand at the same website. Proposal.  The payment rates for Mobility Aids Accessory Rentals are proposed to be effective April 1, 2014. Methodology and Justification. The proposed payment rates were calculated in accordance with 1 TAC: §355.8021, which addresses the reimbursement methodology for home health services and durable medical equipment, prosthetics, orthotics and supplies; and §355.8441, which addresses the reimbursement methodology for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services. Briefing Package.  A briefing package describing the proposed payment rates will be available at www.hhsc.state.tx.us/rad/rate-packets.shtml on or after February 12, 2014.  Those interested may obtain a copy of the briefing package before the hearing by contacting Rate Analysis by telephone at 512-730-7401; by fax at 512-730-7475; or by email at sarah.hambrick@hhsc.state.tx.us.  The briefing package will also be available at the public hearing.  Written Comments.  Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email: U.S. Mail Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 P.O. Box 149030 Austin, Texas 78714-9030 Overnight mail, special delivery mail, or hand delivery Texas Health and Human Services Commission Attention: Rate Analysis, Mail Code H-400 Brown-Heatly Building 4900 North Lamar Austin, Texas 78751 Phone number for package delivery: 512-730-7401 Fax  Attention:  Rate Analysis at 512-730-7475 Email sarah.hambrick@hhsc.state.tx.us
 
2/20/2014
 
Texas Health and Human Services Commission
February 20, 2014 – 10:00 AM
6330 Highway 290 East (ITT Building, Rooms 3-4), Austin
 
The Quality Based Payment Advisory Committee 1. Welcome and Introductions 2. Approval of the November 17, 2013 Minutes 3. Selection of dates for future meetings 4. Informational Presentations: a. Status of the 2013 report b. Summary of activities in other Health and Human Services Commission advisory groups c. Other updates related to Texas Medicaid 5. Lunch (Recess) 6. Committee Discussions a. Enrollment b. Telemedicine c. Shared savings d. Quality Measures 7. Public Comment 8. Next Meeting (TBD) 9. Adjourn. Additional Information Contact: 512/463-5561
 
2/21/2014
 
Department of State Health Services
February 21, 2014 – 12:00 PM
Austin State Hospital Campus, Building 582, West Auditorium, 4110 Guadalupe Street, Austin
 
Texas HIV Medication Advisory Committee The Committee will meet to discuss and possibly act on the following agenda: 1. Call to Order-Philip Keiser, M.D. II. Approval of previous meeting minutes (September 13, 2013)-Philip Keiser, M.D. and Committee III. Update on the Division for Disease Control and Prevention Services-Janna Zumbrun. IV. Texas HIV Medication Program (THMP)Budget Update-Department of State Health Services (DSHS) Staff V. ADAP/SPAP update reports-DSHS Staff VI. ACA/Insurance Program Update VII. Presentation by Salix Pharmaceuticals-Fulyzaq (crofelemer) VIII. Discussion of request from Salix Pharmaceuticals to recommend adding Fulyzaq to the THMP formulary-Phillip Keiser, M.D. and Committee IX. Schedule next meeting-Philip Keiser, M.D. X. Public comments-Philip Keiser, M.D. XI. Adjourn.
Additional Information Contact: 512/463-5561
 
 
– End of Report –